CMS Updates the January 2025 OPPS Update - AAPC
Jan 29, 2025 · Make sure you're referencing the latest Medicare Part B payment policies. The Centers for Medicare & Medicaid Services (CMS) released on Jan. 10 CMS released changes …
2026 MPFS Proposed Rule at a Glance - AAPC Knowledge Center
Jul 15, 2025 · The proposed payment policy for skin substitutes in the hospital outpatient setting will be provided in the CY 2026 Outpatient Prospective Payment System (OPPS)/ Ambulatory …
2025 Outpatient Prospective Payment System (OPPS) Final Rule
Jan 24, 2025 · Overview of 2025 OPPS Final Rule: Key Changes, Compliance and Financial Impacts The presentation will cover all the highlights of the 2025 OPPS Final Rule, detailing …
SUBJECT: July 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to describe changes …
Meet Criteria for IP-only Procedures Under the OPPS - AAPC
Apr 1, 2011 · By Denise Williams, RN, CPC-H Since the initiation of the Outpatient Prospective Payment System (OPPS), the Centers for Medicare & Medicaid Services (CMS) has …
Brush Up on Outpatient Billing and Coding Basics - AAPC
Sep 1, 2021 · The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services are all services The shift to outpatient services …
SUBJECT: October 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to describe …
OPPS Final Rule Eliminates Inpatient Only List - AAPC
Dec 23, 2020 · The 2021 OPPS final rule seeks to increase patient choice and lower out-of-pocket costs. On Dec. 2, 2020, the Centers for Medicare & Medicaid Services
Your Guide to Provider-Based Billing - AAPC Knowledge Center
Oct 1, 2020 · Appending the wrong POS code could result in erroneous or non-compliant payment, leading to overpayment liability and potential False Claims Act liability. In the case of …
Inpatient-Only Procedure Codes The data in this appendix is based on the OPPS/ASC Final rule for CY 2025. Please check the CMS website at www.cms.gov for final updates.